Provider Demographics
NPI:1659456754
Name:YEE, THOMAS OIL JR (APRN)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:OIL
Last Name:YEE
Suffix:JR
Gender:M
Credentials:APRN
Other - Prefix:MR
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:YEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, DNP
Mailing Address - Street 1:175 WEST 7200 SOUTH
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047
Mailing Address - Country:US
Mailing Address - Phone:801-565-6900
Mailing Address - Fax:801-569-0899
Practice Address - Street 1:175 W. 7200 S.
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047
Practice Address - Country:US
Practice Address - Phone:801-565-6900
Practice Address - Fax:801-569-0899
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT53900274408363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU000073019Medicare PIN
UTU000073808Medicare PIN